Individual
DR. JACQUELINE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 STETSON AVENUE SUITE 3200, CINCINNATI, OH 45219
(513) 558-7700
(513) 558-0877
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35054872
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712616
—
OH
Enumeration date
09/26/2006
Last updated
01/30/2018
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